Active NPI
Bridgetown Health Care LLC
Doing business as Bridgetown Nursing & Rehabilitation Centre
- Skilled Nursing Facility
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRIDGETOWN HEALTH CARE LLC
- Doing business as
- Bridgetown Nursing & Rehabilitation Centre
- Practice address
- 4307 Bridgetown Rd
Cincinnati, OH 45211-4427 - Phone
- (513) 598-8000
- Fax
- (513) 574-7424
- NPI assigned
- Jul 1, 2019
- Last updated
- Jul 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Geoffrey Everett Webster, ESQ.
- Title
- Counsel
- Phone
- (614) 461-1156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4307 Bridgetown Rd
Cincinnati, OH 45211-4427
Mailing address
17 S High St Ste 770
Columbus, OH 43215-3450
Phone (614) 461-1156
Other names 1
- Bridgetown Nursing & Rehabilitation Centre
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 513-574-7424 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190913001013 | OH | Part A Provider - Skilled Nursing Facility | 1951630151 | Practice locations: Cincinnati, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336701242. Details of each certification follow.
Skilled nursing facility certification: CCN 365462
- Legal name
- BRIDGETOWN HEALTH CARE LLC
- Doing business as
- BRIDGETOWN NURSING & REHABILITATION CENTRE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 14, 1980
- Last certification
- May 19, 2022
- Beds
- 55
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jun 11, 2019 in OH
- Enrollment address
- 4307 Bridgetown Rd
Cincinnati, OH 45211-4427 - Nursing home name
- BRIDGETOWN NURSING AND REHABILITATION CENTRE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bridgetown Nursing and Rehabilitation Centre
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 14, 1980
- Medicare certification status
- Active
- Certified beds
- 55
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2021248 | Bridgetown Health Care LLC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Emmanuel V Rivera | Adp of the SNF | Oct 1, 2023 | |
| Deborah Labazzo | Operational/Managerial Control | Jul 1, 2019 | |
| Adp of the SNF | Jul 1, 2019 | ||
| Direct Ownership Interest | Jul 1, 2019 | 2% | |
| Ronald Bommer | 5% Or Greater Direct Ownership Interest | Jun 11, 2019 | 49% |
| Adp of the SNF | Jul 1, 2019 | ||
| Cameron Bommer | 5% Or Greater Direct Ownership Interest | Jul 1, 2019 | 49% |
| Corporate Director | Jul 1, 2019 | 49% | |
| Operational/Managerial Control | Jul 1, 2019 | ||
| Adp of the SNF | Jul 1, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Cincinnati, OH
- NPI 1912946146
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Family Medicine) Physician
- Cincinnati, OH
- NPI 1912946146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561939200000",
"number": "1336701242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 S HIGH ST STE 770",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153450",
"telephone_number": "614-461-1156",
"fax_number": "614-461-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4307 BRIDGETOWN RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452114427",
"telephone_number": "513-598-8000",
"fax_number": "513-574-7424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGETOWN HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A",
"authorized_official_last_name": "WEBSTER",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "EVERETT",
"authorized_official_title_or_position": "COUNSEL",
"authorized_official_telephone_number": "614-461-1156",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "513-574-7424",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "print",
"address_1": "4307 Bridgetown Rd",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452114427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Bridgetown Nursing & Rehabilitation Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
- Bridgepointe Psychological & Counseling Services
- Bridges Counseling Services Inc
- Catherine Bridges, MD
- Claude Mustafa Bridges, M.D.
- Rachel Marie Bridges, MSN APRN FNPC
- Keisha Lanee Bridgett, STNA
- Bridgette Coleman (Heaven Sent)
- Bridging the Gap Homecare LLC
- Briella Home Health Care LLC
- Brooke Brigadoi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.